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Related Experiment Videos

Biochemical changes within a multiple sclerosis plaque in vivo.

T A Cadoux-Hudson1, A Kermode, B Rajagopalan

  • 1MRC Clinical and Biochemical Magnetic Resonance Unit, John Radcliffe Hospital, Oxford, UK.

Journal of Neurology, Neurosurgery, and Psychiatry
|November 1, 1991
PubMed
Summary

Magnetic resonance spectroscopy (MRS) revealed altered brain energy metabolism in multiple sclerosis (MS) lesions. Follow-up showed lesion reduction and normalized biochemistry, suggesting metabolic recovery.

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Area of Science:

  • Neuroimaging
  • Biochemistry
  • Neurology

Background:

  • Multiple sclerosis (MS) is a demyelinating disease affecting the central nervous system.
  • Brain energy metabolism abnormalities may occur in MS lesions.
  • Magnetic resonance spectroscopy (MRS) can assess in vivo brain biochemistry.

Purpose of the Study:

  • To investigate brain energy metabolism in a superficial multiple sclerosis (MS) lesion using MRS.
  • To monitor changes in brain biochemistry over time in relation to lesion evolution.
  • To compare phosphorus metabolism in MS lesions with that in MS patients without visible lesions.

Main Methods:

  • Magnetic resonance spectroscopy (MRS) was performed on a superficial brain lesion in a multiple sclerosis (MS) patient.
  • Phosphorus metabolite levels (e.g., phosphocreatine (PCr), adenosine triphosphate (ATP), phosphodiesters (PDE)) were quantified.

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  • Follow-up MRS and MRI were conducted 16 months later.
  • MRS was also performed on four MS patients without visible superficial cerebral lesions.
  • Main Results:

    • Reduced phosphocreatine (PCr) relative to adenosine triphosphate (ATP) was observed in the MS lesion, indicating impaired energy metabolism.
    • An increased phosphodiester (PDE) peak was detected in the lesion.
    • Follow-up assessment showed a reduction in lesion size on MRI and normalization of intracellular biochemistry by MRS.
    • MS patients without visible superficial lesions exhibited no significant changes in phosphorus metabolism.

    Conclusions:

    • Superficial MS brain lesions exhibit abnormal energy metabolism detectable by MRS.
    • Lesion resolution is associated with the normalization of brain phosphorus metabolism.
    • MRS can serve as a valuable tool for assessing metabolic changes and recovery in MS lesions.